By getting direct measurements of pH in the esophagus, our gastroenterology doctors can better diagnose problems that patients are facing with their digestive tract. Rather than taking antacids on a regular basis, fighting your way through chest pain, and other side effects of an underlying digestive issue, trust our doctors and PAs to help you find the source of your troubles using Bravo / Manometry.
The Bravo™ pH Monitoring System is a catheter-free way to measure pH. The Bravo system involves a pH capsule, about the size of a gel cap, which is temporarily attached to the wall of the esophagus. The Bravo™ pH Capsule measures pH levels in the esophagus and transmits readings via radio telemetry to the Bravo™ Receiver worn on the patient’s belt or waistband. The patient also records symptoms he or she experiences in a diary by pressing buttons on the receiver. The Bravo pH capsule collects pH measurements for up to 48 hours. After the study, data from the receiver is uploaded to a computer and diary information is entered for analysis to aid in the diagnosis and plan treatment. Normal patient activities such as swallowing, eating and drinking should cause the disposable pH capsule to detach and pass through the digestive tract in 5-7 days on average.
There are a variety of symptoms that can make a good case for receiving Bravo / Manometry. Some common ones include:
• Trouble swallowing
• Non-cardiac chest pain
• Frequent cases of heartburn or acid reflux
The process of Bravo / Manometry might be intimidating, but, in reality, it is an easy and painless process that can assist you toward a healthier digestive system. Take a look through some of our most commonly asked questions to learn more about the process and see how it might be able to help you.
The doctor uses the Bravo™ Delivery System to insert the pH capsule through the mouth or nose and position it above the lower esophageal sphincter. Once the pH capsule is in place, suction is applied, drawing a small amount of esophageal tissue into the capsule and locking it in place. The delivery system is then withdrawn and the pH capsule can begin measuring pH levels.
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